Cardiology Case Report: Woman with Chest Pain and Palpitations

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This cardiology case report features a woman in her mid 40s reporting chest pain and palpitations. Check out the ECG and determine the most likely rhythm in this patient!

History:

A patient in their mid-40’s presents to the hospital with chest pain and palpitations for 2 hours. She denies syncope, SOB, leg swelling, fever, cough or other complaints.

Exam:

Vital signs are normal except for a pulse of about 175. The physical exam is otherwise normal with clear lungs, no edema and no thyromegaly.

An ECG is done:

ECG printout of a patient with chest pain. Computer Read: Sinus tach at 179, ST & T wave abnormality, consider inferior ischemia. | Credit: Brady Pregerson, MD

Computer Read: Sinus tach at 179, ST & T wave abnormality, consider inferior ischemia.

Credit: Brady Pregerson, MD

What is the most likely rhythm in this patient?


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